| NPI | 1194716829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD13971) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MA 216854) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2026-08-27 |